Sweet Sixteen Tomorrow

Let’s hope it is sweet, or at least it doesn’t make things worse. Tomorrow at 12.30 I’m having what is called YAG laser capsulotomy, a minor surgical procedure (my sixteenth) to get rid of some clouding that has developed since the cataract extraction last April. I’ve been told that it is very quick procedure. In fact, the women from the office who phoned me today with the time of the surgery told me there were no restrictions (as far as eating or meds go,) and, get this, I could drive myself to and from the procedure. Uh, if I tried to drive myself to the procedure, I’d never get there. If I tried to drive after the procedure, Action News and NBC10 News have a 50-50 shot at being the news since the surgery center is about a block away from them.

I won’t get into what I hope I can do after the surgery, because even the doctors I’ve talked with about it tell me that I will probably only pick up a very slight increase in vision. Risks associated with this surgery are also pretty small, with retina detachment the primary complication. While I am hopeful of getting back to the sight I had for the 10 day period following my cataract extraction, and staying there, this surgery will not get me there. My sight has been so poor as of late that any positive outcome will be greatly appreciated. The dream of significantly better sight will have to wait for modern medicine.

So, we’ve got a busy day ahead of us tomorrow. At 8.30, we’re touring the high school at Friends Central where Jane would move on to next year (she’s currently in eighth grade there now.) After that, we’re heading down Lancaster Avenue to make a delivery. Then on to the Main Line Surgery Center for the surgery. (I’m hoping we can fit a Starbucks stop either before or after the delivery — though maybe I should wait until after the surgery so the caffeine from the Apple Chai Infusion doesn’t make me too jittery… After the surgery, a delivery or two over in Ridley, and, if it’s in, a trip to Newark to pick up our Clairol order. Wow, I’m tired already.

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Going the Wrong Way

Since Wednesday or Thursday, I’ve noticed that my vision didn’t seem to be as good as it was earlier in the week.  By Friday, after talking with Eliz, we decided it was probably a good idea to try and visit Dr. Ayres, the surgeon that removed the cataract (and performed the endothelial transplant in Dec. ’08.)  Fortunately, they were able to squeeze me into their busy schedule at Wills Eye at noon on Friday.

We didn’t have to wait long in the waiting room.  I was very curious about reading the chart.  The E was not a problem.  I could see the SL on the next line, but it didn’t seem as sharp as my previous appointment about 10 days earlier.  I could not read the OPLB line.  That was a step backward.

When Dr. Ayres came in, I told him about what was going on.  He took a look and said everything seemed about the same as my previous appointment.  No signs of retina detachment, the new lens was still in place, and there was no signs of rejection on the previously transplanted endothelia.  My IOP was at seven, which was down from 10 at my previous appointment.  As he put it, the good news is that it is not a problem from the surgery, but that means I don’t really have any way of fixing the issue.  He prescribed a non-steroidal eye drop just in case there was a little swelling that he didn’t notice.  He said it was like Advil in drop form.

On Tuesday I have a scheduled appointment with Dr. Pro, who is my glaucoma doctor.  I want to have a Fields test, because one of the things I have noticed is more blind spots, especially in my central vision.  Hopefully, he’ll find something that can be corrected.

So, it seems I’ve missed my opportunity to go to the movies or a Phillies game.  It might also be time to learn how to do things without much sight.  I was waiting for the surgery before I tried anything new, but I think it is time.

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